Recurring concern
Failure to communicate safety-critical care information effectively between care providers and families
- Reports that mention this concern
- 70
- Times this concern has been raised
- 74
- Stated actions linked to this concern
- 94
What this concern includes
Includes failures in provider-to-family or family-to-provider communication where the information concerns patient safety, clinical risks, care plans, deterioration, leave arrangements, incidents, complaints or other matters directly relevant to safe care.
What is not included
- Excludes communication failures solely between professionals, services or departments when families are not a relevant party.
- Excludes generic failures of documentation, staffing, training or policy compliance unless they directly constitute or prevent communication of safety-critical information to or from families.
- Excludes routine information provision or dissatisfaction that is not tied to a meaningful public-safety concern.
- Excludes communication with patients, students, prisoners or other beneficiaries where families are not materially involved.
Trends
Reports over time
Reports mentioning this concern, over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Reports and published responses 70 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Insufficient engagement with family and carers about patients' Care and Treatment Plans
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Betsi Cadwaladr University LHB
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Betsi Cadwaladr University LHB
Family and carer involvement in care planning is legally limited where patients with capacity do not consent, unless overriding public interest justifies disclosure.
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Concerns raised1
Failure of communication between staff, patients and families
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Tameside and Glossop Integrated Care NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
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Tameside and Glossop Integrated Care NHS Foundation Trust
Create and provide a bedside patient-safety booklet for patients and relatives.
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Tameside and Glossop Integrated Care NHS Foundation Trust
Review and update the DNACPR policy to require discussion, clear communication and checking of understanding.
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Tameside and Glossop Integrated Care NHS Foundation Trust
Roll out refresher training on mental-capacity, consent and communication policies.
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Concerns raised1
Failure of communication in coordinating family notification of death
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Insufficient review of patient decisions about permission to contact next of kin or family
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to communicate the significance of persistently raised ESR and CK to the patient and family
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- The Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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The Trust
The Trust states that it communicated the illness’s significance and appropriately warned the patient and her mother about self-discharge risks.
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Concerns raised1
Lack of formal communication opportunities for patients’ relatives to report patients’ conditions to primary care clinicians
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
-
Concerns raised1
Haphazard communication between staff and family
This report raised 12 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Partnerships in Care Group Limited
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
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Partnerships in Care Group Limited
Review family and carer communication and discuss communication issues at multidisciplinary meetings to support consultation when patients consent.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Partnerships in Care Group Limited
Short admissions and patient confidentiality constrained significant liaison and family input, although involvement was attempted where possible.
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Concerns raised1
Failure to provide families with copies of patients’ care plans
This report raised 8 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to listen to family concerns about changed patient behaviour
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Browning Street Surgery
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
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Browning Street Surgery
Develop structured criteria and a protocol for identifying complex patients who would benefit from discussion at clinical meetings.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Browning Street Surgery
The paranoid thoughts were considered unrelated to morphine and more likely associated with stress and previous similar episodes.
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Concerns raised2
Failure to involve or update the family about DNAR decisions
Poor communication between clinical staff and with the patient’s family
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026